Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Dyson, LPC-IT

Individual provider Mental Health Counselor · NPI 1881464568

Samantha Dyson, LPC-IT is a Mental Health Counselor in Cedarburg, Wisconsin. Qualified in 2022, 4 years ago. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

W62N281 Washington Ave
Cedarburg, WI 53012-2737
Phone: (262) 623-7161
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7046-226 (WI)

Record details

NPI number1881464568
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Cedarburg